#cardiac surgeon reviews

[drpavankumarblog]

Managing Stress for a Healthier Heart: Practical Tips

Introduction

In the present high speed world, stress has turned into a practically undeniable piece of our lives. While a specific measure of pressure can be useful, persistent pressure presents huge dangers to our wellbeing, especially our heart wellbeing. Overseeing pressure successfully is pivotal for keeping a solid heart and by and large prosperity. This blog will give useful hints to assist you with overseeing pressure and backing a better heart.

Understanding the Connection Between Stress and Heart Health

Stress sets off an outpouring of physiological reactions in the body, frequently alluded to as the "survival" reaction. At the point when this reaction is actuated, your body discharges chemicals like adrenaline and cortisol. While these chemicals are valuable in short explodes, constant pressure can prompt:

Expanded pulse and circulatory strain

Irritation in the cardiovascular framework

Undesirable survival strategies, like gorging, smoking, or exorbitant liquor utilization

Higher gamble of creating coronary illness, hypertension, and stroke

Understanding this association highlights the significance of overseeing pressure for a better heart.

Reasonable Ways to oversee Pressure

Work-out Consistently

Active work is a strong pressure minimizer. Practice discharges endorphins, which are normal state of mind lifters. Go for 30 minutes of moderate activity, like strolling, swimming, or cycling, most days of the week.

Practice Care and Contemplation

Care and contemplation can assist you with remaining present and diminish nervousness. Basic practices, as engaged breathing or directed reflection, can fundamentally bring down feelings of anxiety. Applications like Headspace or Quiet deal with direct meetings to kick you off.

Keep a Sound Eating regimen

Eating a fair eating regimen wealthy in natural products, vegetables, entire grains, lean proteins, and solid fats can assist with settling your temperament and energy levels. Stay away from over the top caffeine and sugar, which can add to tension and stress.

Get Satisfactory Rest

Unfortunate rest can intensify pressure. Hold back nothing long stretches of value rest each evening. Lay out a loosening up sleep time schedule, stay away from screens before bed, and establish an agreeable rest climate.

Remain Associated

Solid social associations can offer close to home help and assist you with overseeing pressure. Make time to associate with loved ones, whether through in-person visits, calls, or video talks.

Deal with Your Time Successfully

Unfortunately, using time effectively can increase stress. Use apparatuses like plans for the day, schedules, and time-hindering procedures to coordinate your undertakings and focus on what's generally significant.

Figure out how to Say No

Overcommitting yourself can prompt burnout. Figure out how to express no to undertakings or commitments that are not fundamental, and agent whenever the situation allows.

Participate in Side interests and Exercises You Appreciate

Getting some margin for side interests and recreation exercises can give a genuinely necessary break from pressure. Whether it's perusing, cultivating, playing a game, or creating, find what gives you pleasure and make it a normal piece of your daily practice.

Practice Profound Breathing and Unwinding Strategies

Strategies like profound breathing, moderate muscle unwinding, or yoga can assist with quieting your brain and lessen actual strain. These practices should be possible anyplace and whenever, making them flexible devices for stressing the executives.

Look for Proficient Assistance When Required

Assuming pressure becomes overpowering, feel free to provide proficient assistance. Advisors, guides, and care groups can give systems and backing to assist you with adapting all the more really.

Conclusion

Overseeing pressure is urgent for keeping a sound heart and generally speaking prosperity. By integrating these functional tips into your everyday daily practice, you can lessen pressure, further develop your heart health, and upgrade your personal satisfaction. Keep in mind, making little strides consistently can prompt huge upgrades by they way you feel and how well your heart capabilities.

[killed-by-choice]

Amber Thurman, 28 (USA 2022)

Amber with her beloved son

Georgia’s Pro-Life laws have reduced abortion and protected women. Amber Thurman, who died because of a legal abortion from out of state, is the only person in Georgia for years of records to die from septic shock from “retained products of conception.”

Amber, a healthy 28-year-old single mother, learned she was pregnant with twins in 2022. Scared for her stability and feeling unable to provide for them while attending nursing school, she and her friend Ricaria Baker scheduled a legal surgical abortion in North Carolina.

After leaving her son with a babysitter and making the long drive to another state, Amber and Ricaria were delayed by heavy traffic. They contacted the abortion facility only to find out that the facility had crammed in so many clients that they wouldn’t let her have more than a 15-minute delay or they would cancel her appointment. However, a facility worker gave Amber a “counseling session” and sold her the abortion pills. Tired from the journey and frustrated at the idea of making the long trip for a second time, Amber agreed. She took the first pill at the abortion facility on August 13. She was nine weeks pregnant.

Ricaria later told media that Amber wanted to get home before the abortion symptoms started. The two of them went home and Amber took the final dose.

Amber would soon learn that chemical abortion was not as safe or convenient as the facility claimed. She was in intense pain and bleeding much more heavily than she was led to expect. Her boyfriend called 911 after she vomited blood and lost consciousness.

At 6:51 P.M. on August 18, Amber was brought to Piedmont Henry Hospital in Stockbridge, Georgia. Her condition mirrored that of others killed by “safe and legal” use of the abortion pill. A pelvic exam and ultrasound indicated that the legal abortion left tissue inside of her, where it decayed and caused sepsis. Her blood pressure was dangerously low from bleeding, her white blood cell count was elevated, and while attempting to use the bathroom she fainted again and hit her head.

After assessing Amber’s condition, doctors started her on an IV drip and antibiotics to combat the sepsis, The OB-GYN who was caring for Amber noted the possibility of doing a D&C the next day. However, her condition badly deteriorated. By 5:14 the next morning, she was having trouble breathing and her blood pressure was still dangerous even after five liters of fluids. Realizing that Amber was even sicker than previously thought, her doctors continued to gather information and increased her antibiotics. They also tested for STDs that could potentially complicate treatment and for pneumonia, which can easily develop in patients with sepsis.

With her blood pressure so low, Amber’s doctors tried to save her by giving her Levophed. This was a powerful blood pressure support medication given because she desperately needed her blood pressure to be stabilized. But even with Levophed, Amber’s blood pressure kept falling. She was admitted to the ICU at 6:45 A.M.

By 7:15, doctors discussed a D&C. However, because of her critical condition and because of how the Levophed affected blood flow, surgery was very risky for Amber. Still, after a specialist in intensive care examined her, it was decided that the risk had to be taken.

In the OR, it was discovered that the sepsis was causing her organs to fail. Amber’s bowel needed to be removed, but because of how her blood flow was affected, it was too dangerous to do so. A surgeon carried out the D&C as planned, but the infection was so bad that Amber also had to have a hysterectomy. Despite the hospital’s efforts, Amber went into cardiac arrest during her surgery. A maternal mortality review noted that her death was preventable.

Once Amber’s case became publicly known, some pro-abortion sources tried to claim that the Georgia abortion ban was what actually killed her. They claimed that Georgia law had criminalized D&C so absolutely that doctors were limited in what they could do to save her life.

This is not true.

First, Amber’s twins were already dead. A procedure to remove a dead baby’s remains or other retained tissue is not medically or legally qualified as an abortion.

Second, the legal text of Georgia’s abortion ban clearly states that even if a treatment could be considered an abortion (which, again, does not apply to removing the remains of a corpse), it is unambiguously legal if needed to preserve the life or health of the mother. The text of the law allows doctors, not politicians, to have the final say in what qualifies. Legally, Amber’s doctors were allowed to give her a D&C at any time— which they did. The claims that the abortion ban forced the doctors to delay the D&C or criminalized it are unfounded. Even ProPublica themselves admitted that “Doctors and a nurse involved in Thurman’s care declined to explain their thinking and did not respond to questions from ProPublica.” In other words, they were only guessing what they thought might have been the motivation.

Amber’s D&C was also performed on the day it was planned. There was no refusal to treat her, and in fact even the article that attempts to paint her as a “victim” of abortion bans admits that surgery was dangerous at that point because of the blood pressure medication— the medication given because her legal abortion made her lose so much blood. Surgery may be delayed for extremely fragile patients, and seeing that multiple experts were being brought in to analyze her case and help the best they could, it is extremely likely that she did not receive surgery sooner because they thought it was more likely to kill than save her. This is especially relevant in a patient with respiratory distress, organ failure and extremely low blood pressure— surgery on someone with highly impacted blood flow poses risks of its own.

Lastly, there is no denying that Amber died from a legal abortion. She was not a criminal— she underwent something she was told was “safe and legal” and still died. The blame for her death rests on the abortion facility that packed in as many women as they could and then risked their lives.

It is also worth noting that in a case like this of abortion pill-induced sepsis, treatment can fail even when everything can be attempted. Given that she was already in severe sepsis when admitted to the hospital, even an immediate D&C (had she been stable enough for one) may have been too late. A similar case, the death of “Jayden Roe,” records an immediate D&C being done on a patient who was much less sick and still died.

But even if, hypothetically, Amber’s doctors delayed an aspect of her treatment needlessly, that would be their fault individually as practitioners, not the fault of a law that clearly allows them to use their own judgement and decide for themselves.

Although Amber was afraid of financial instability, she loved being a mother and frequently posted about how much she loved being with her young son— a son who lost his mother and two siblings to “safe and legal” abortion.

Since becoming publicly known, Amber’s death has been exploited by abortion supporters. All of the social media posts claiming that abortion bans killed her miss a very crucial fact: she died of complications of a fully legal abortion.

[religion-is-a-mental-illness]

By: Christopher F. Rufo

Published: Jun 18, 2024

The “gender-affirming care” business has always had an aura of madness around it. Wielding the authority of white coats and prestigious degrees, doctors have convinced large swaths of the public that some children are “born in the wrong body.” The solution? Stop puberty, prescribe cross-sex hormones, and then, with the stroke of a knife, remove body parts—most commonly breasts, less frequently genitalia.

These medical practices use scientific rhetoric to affirm what is, at bottom, an ideological program. And gender activists have been successful enough at capturing the legitimizing institutions—medical societies, regulatory bodies, and teaching hospitals—to repel most challenges to the burgeoning child sex-change industry.

Now, though, the consensus appears to be shifting. European governments have backed away from many of these dubious procedures. In England, the Cass Review has raised grave questions about the scientific evidence behind “gender-affirming care.” In the United States, the public has turned decisively against the use of puberty blockers and gender surgeries on minors, with some state legislatures banning the practice.

I have reported on one of these programs, the pediatric gender clinic at Texas Children’s Hospital. Last year, I published an investigation demonstrating that, though it had promised to shut down its program, Texas Children’s had continued to administer hormone drugs to children as young as 11. Following the story, the state attorney general launched an investigation, and state legislators passed a bill, SB 14, prohibiting all transgender medical interventions on minors.

While these scandals caught the headlines, another story involving the same institution was brewing in the background: medical fraud.

According to a new whistleblower, doctors at Texas Children’s Hospital were willing to falsify medical records and break the law to keep practicing “gender-affirming care.” Caught in the wave of ideological fervor, two of the hospital’s prominent physicians, Richard Ogden Roberts and David Paul, cut corners and, according to the whistleblower, committed Medicaid fraud to secure funds for the hospital’s child sex-change program.

(Texas Children’s Hospital, Roberts, and Paul did not respond to a request for comment.)

This is a story of fanaticism, hubris, and the murky business of transgender medicine. It would have remained hidden, except for the courage of two people inside the hospital, a surgeon named Eithan Haim and a nurse who has now decided to come forward. Both have risked much to alert the public to the barbarism that is occurring at the nation’s largest, and arguably most prestigious, children’s hospital.

Some years ago, Vanessa Sivadge thought she had it made, having just accepted a position as a registered nurse at Texas Children’s Hospital. She had wanted to be a nurse since high school and felt a sense of joy in helping children.

But her feelings toward Texas Children’s didn’t last. Beginning in 2021, Sivadge saw a dramatic rise in the number of “transgender children” treated at the hospital. These patients struggled with various problems: depression, anxiety, addiction, suicide attempts, physical abuse, and discomfort with puberty. But rather than deal with these underlying psychological conditions, Sivadge says, doctors at the hospital would diagnose them with “gender dysphoria” and assign them to a regimen of “gender-affirming care.”

The practice made Sivadge recoil. “In the cardiac clinic, we were taking sick kids and making them better,” she says. “In the transgender clinic, it was the opposite. We were harming these kids.”

Then, the following year, she breathed a sigh of relief. Under pressure from the state attorney general, Ken Paxton, Texas Children’s CEO Mark Wallace said that he was shutting down the child gender clinic. But it wasn’t true. Mere days later, it had secretly reopened for business.

And business was booming. Doctors, including Roberts, Paul, and Kristy Rialon, were managing dozens of pediatric sex-change cases, performing surgeries, blocking puberty, implanting hormone devices, and making specialty referrals. They were motivated not only by ideology, but by hope for prestige: they were saviors of the oppressed, the vanguard of gender medicine.

Sivadge soon had seen enough. She read my investigative report exposing Texas Children’s sex-change program, which relied on testimony from Haim, and reached out to share her own observations.

“I work very closely with this provider, Dr. Richard Roberts. I’ve been in the room with him when he speaks with these patients,” she told me in an interview. “Dr. Roberts is extremely encouraging of their transition and will essentially do whatever he can to make sure that they are happy, at least externally happy. Because I am absolutely certain that they are not internally happy. He is very accommodating. He does whatever they want. Essentially, there is no critical analysis of the process.”

In Sivadge’s view, Roberts and other providers were manipulating patients into accepting “gender-affirming care.” When parents objected, the doctors bulldozed them, she claims. Some families, she believed, feared that the hospital would call Child Protective Services if they dissented.

Then, two months after I spoke with her for that story, Sivadge called me in a panic. The FBI had sent two special agents, Paul Nixon and David McBride, to her home. The agents knocked on the door, asked her about “some of the things that have been going on at [her] work lately,” and then asked to enter her home. She was terrified. (The FBI declined to comment.)

The agents told Sivadge that she was a “person of interest” in an investigation targeting the whistleblower who had exposed the child sex-change program. They told her that the whistleblower had broken federal privacy laws. “They threatened me,” Sivadge said. “They promised they would make life difficult for me if I was trying to protect the leaker. They said I was ‘not safe’ at work and claimed that someone at my workplace had given my name to the FBI.”

The authorities—the FBI, the hospital, and, as Sivadge would later discover, federal prosecutors—were all circling the story. Both the Department of Justice and the hospital leadership were ideologically committed to “transgender medicine.” They had been embarrassed by the investigation that had exposed their actions, and they were looking for revenge.

Things went quiet for a while afterward. Sivadge resumed her work as a nurse, and the FBI did not reappear.

Texas Children’s Hospital continued its sex-change program but focused instead on patients who had reached the legal age of 18. Sivadge saw the same terrible medical regimen being prescribed for these young adults: testosterone for girls, estrogen for boys, and referrals for specialty services. While Roberts and Paul had stopped providing sex-change procedures for minors, the gender clinic still overflowed with “transgender” teens. 

Sivadge’s duties as a nurse included providing medication refills and working with doctors to provide parents with information about treatment plans, scheduling, and diagnostics. She worked with patients’ charts and saw their complex psychological diagnoses and the treatments administered by the doctors.

Then Sivadge noticed discrepancies in the paperwork. After the FBI visit, she followed some of the medical charts for these patients and came to believe that doctors might be violating the law.

As Sivadge learned, Texas law forbade hospitals from billing Medicaid for transgender procedures. The Texas Medicaid Provider Procedures Manual has long stated that “sex change operations” are “not benefits of Texas Medicaid.” In 2021, Texas Medicaid officials told the Kaiser Family Foundation that this prohibition was not limited to genital surgeries but “explicitly excludes coverage of all gender affirming health services.”

Transgender activist organizations and the popular media held this to be common knowledge. As the left-leaning Texas Tribune explained in 2023: “In Texas, Medicaid and the Children’s Health Insurance Program already don’t cover transition-related surgeries and prescription drugs like hormone therapies and puberty blockers.”

When reached for comment, a spokesman for Texas Health and Human Services confirmed that the state Medicaid program has “never covered ‘gender-affirming’ surgery or prescription drugs for the purpose of ‘gender-affirming’ care.”

At Texas Children’s, as she was treating patients, Sivadge carefully scrutinized the treatments related to an alarming number of “transgender” teenagers under the care of Roberts and Paul, who, she came to believe, were unlawfully billing the state Medicaid program.

One patient, whom we’ll call Patient A, began treatment at Texas Children’s in 2022, at the age of 16. Patient A is a biological female who identified as “non-binary” and whose records claimed that she was “male.” This patient began treatment with Roberts, who approved a prescription for testosterone as part of the patient’s “gender-affirming” medical regimen.

During treatment, Roberts explained to Patient A the effects of testosterone, including masculinization and the suppression of fertility, and had her continue with testosterone injections. Roberts carefully monitored the progression of the desired characteristics for gender transition: voice deepening, facial hair, body hair. By the following year, Roberts increased the dosage of testosterone for Patient A, with the associated diagnosis of gender dysphoria.

Another patient, whom we’ll call Patient B, began care at Texas Children’s in 2022, also at the age of 16. Patient B is a biological male who identified as a female and whose records indicated the transgender identity, “female.” He arrived at the gender clinic under the care of Paul, already having begun a prescription of a testosterone blocker and estrogen, which served as a sex-change hormone.

Paul wanted to help Patient B feminize his body to conform to his desired gender identity. Patient B had increased the size of his breasts but was frustrated by the persistence of facial hair. Paul discussed changing the testosterone blocker and increasing the dose of estrogen in order to make progress with feminization. Patient B told Paul that he wanted his breasts to be larger, firmer, and more pressed together, with larger areolas. Paul adjusted Patient B’s estrogen prescription and discussed the possibility of breast implants.

Sivadge noticed another critical piece of information: Patient A and Patient B, like several other “transgender” patients, were enrolled in Texas Children’s Health Plan STAR, a “no-cost Medicaid managed care plan.”

Despite the law, which prohibited billing Medicaid for “gender-affirming care,” it appears that this was a standard practice at Texas Children’s Hospital. As Roberts himself admitted in a 2023 affidavit related to the lawsuit against SB 14, he had several patients in his transgender medicine program “who receive their health coverage through Medicaid.”

According to a legal expert with deep knowledge of Texas Medicaid law, the essential facts are as follows: Patients A and B had coverage through Texas Children’s Plan STAR; the doctors explicitly treated them for the purpose of “gender-affirming care”; and the standard practice would be for the hospital to submit this care for reimbursement through the state Medicaid program. It would be extremely unlikely, according to this expert, for the hospital to forgo this practice and, for example, cover the cost of its “gender-affirming care” program from its own budget.

“Based on the facts we have, the only reasonable conclusion is that Texas Children’s Hospital was using Texas Medicaid funds to pay for ‘gender-affirming care,’ contrary to Texas law,” said the legal expert.

For Sivadge, there was no doubt about what was happening. “The largest children’s hospital in the country is illegally billing Medicaid for transgender procedures,” she said. “It is evident that the hospital continues to believe it is above the law not just by concealing the existence of their transgender medicine program from the public, but by stealing from the federal government.”

During this period, the politics of gender procedures were changing behind the scenes. Federal investigators were busy assembling information. A federal prosecutor, Tina Ansari, threatened the original whistleblower, Haim, with prosecution. And the hospital continued to churn through transgender patients.

Then, earlier this month, the stakes intensified. Three heavily armed federal agents knocked on Haim’s door and gave him a summons. According to the documents, he had been indicted on four felony counts of violating medical privacy laws. If convicted, Haim faces the possibility of ten years in federal prison.

The Justice Department appears to be playing a cat-and-mouse game with those willing to challenge the legitimacy of transgender medicine. As public opinion shifts against “gender-affirming care,” Justice Department officials seem to be pursuing harder methods of ideological enforcement—investigating, threatening, and indicting whistleblowers. If you expose the barbarism that is happening in American gender clinics, the message seems to be, you risk imprisonment.

Sivadge, however, remains undeterred. “My faith and my gut, just knowing right from wrong, compels me,” she says. “I was born for this. I have no doubt this is what I am supposed to do.”

For her, it is personal. She witnessed and unwittingly participated in what she now believes to be, quoting a passage from the Bible, “deeds of evil and darkness.” She considers blowing the whistle a form of redemption, recalling a moment early on, in which Roberts asked her to teach a 16-year-old boy how to inject estrogen into his body to affirm a female identity. Later, Sivadge says, she realized what she had done: she had participated in a lie that would harm this boy.

“I was told to do something I knew was wrong,” she says. “It made me sick that the lie called ‘gender-affirming care’ was being sold to parents and children and creating hugely lucrative profits in secret—and I was part of it.”

Sivadge is not the only one feeling regret. Doctors, families, and political leaders are all starting to question the folly of child sex-change programs. The sense is growing that the public was sold a bill of goods—and that children are being put in grave danger. We have begun the painful process of recognition. The activist euphoria has worn off, the old rationalizations no longer suffice, and the bill has come due.

Texas Children’s Hospital is at the center of this national drama. Both sides—the “gender-affirming” doctors and the whistleblowers opposed to them—face enormous risk, including the loss of medical licenses and time in prison.

Some of those implicated in the scheme might escape with their reputations intact. Others might meet ruin. But a deeper lesson emerges, impervious to the ideological mania and the legal maneuvering that have precipitated this crisis: nature is not easily conquered, and its reckoning cannot be delayed forever.

[whomst-art-thou-whomst-whomst]

Whomst Reviews: Ghost Doctor

(For those of you Kdrama Tumblrites who haven’t seen this masterpiece yet)

So you know how you watched an episode of Gray’s Anatomy and thought, this would be better if it was gayer and had more ghosts?

Have I got the show for YOU

Episode 1 Recap:

Once upon a time, there was a grumpy introvert heart surgeon named Cha Youngmin. He’s out here in his fancy little suits existing day to day for his work, being That Bitch to everyone to avoid feeling things, just him and his sugar glider son Man Du against the world.

Enter: one (1) naive but pure-hearted rich boy twink named Go Seungtak who loves drinking fancy coffee, showering people with gifts, taking naps, and avoiding real responsibility due to trauma-related anxiety and depression issues (so this is my drama debut tbh)

Necessarily, they clash! Bc Seungtak is the hospital foundation heir, his grandfather has decided that in order to manage the hospital, Seungtak should become a surgeon instead of using his MBA to manage things (not quite following the logic here but sure), and Youngmin, as an esteemed (if disliked) surgeon and all-around girlboss, does Not Like That.

Seungtak immediately falls in love becomes fascinated with Youngmin’s personality and impressed by his skills, and follows him around like the puppy-brained little shit he is. 

Unfortunately, as Youngmin simultaneously decides to make “tormenting Seungtak” his whole personality, this leads to a sad Puppy being first humiliated during a surgery then exiled to ER work. Mondays, bro. 

It’s the first warning we see that Youngmin can allow his emotions to sway his judgment (you know, that thing he bitches at everyone about doing? yeah), because:

1.) he let a first-year resident help with an operation on his first day at work,

2.) he immediately jumps to conclusions and publicly berates that resident for failures instead of assessing what went wrong, and

3.) he’s assigned as Seungtak’s mentor but jettisons him asap the next day after Seungtak witnesses him arguing with his ex (more on her in a sec)

It’s hard to say what would have become of the pair if not for a series of unfortunate and premeditated events brought to us by Hospital Mean Girl Han Seungwon and Corporate Asshat Jang Minho, and liberally edited by Bitch-Ass-Liar An Taehyeon. 

The grandpa-style chairman of a corporation thingy goes in for surgery that Youngmin is initially reluctant to try, as it has a low chance of success and would not give him much more time. We see multiple times that Youngmin will give up on a risky patient rather than spend extra money for what he assumes/judges to be futile efforts. However! Then his ex SeJin shows up, and surprise she’s the daughter of said chairman, who left Korea and now works in Seattle as a neurosurgeon at Seattle Grace Hospital

Having researched her dad’s condition, she doesn’t want Youngmin to do the surgery either; so naturally, Youngmin decides to do the surgery. 

This is ultimately what sets everything else into motion. The chairman’s surgery is an initial success, but then Youngmin gets a text from SeJin and leaves his resting  patient behind (we are told that a surgeon is supposed to stay and monitor the patient until they wake up).

Next thing we know, Youngmin has been in an accident:( and he’s having an out of body experience. We are talking full Patrick Swayze here. He gets rushed to his own hospital.

Who’s available in the ER to assess the patient? Yep, Youngmin’s played himself here, because Seungtak is on duty. Ghost Youngmin screams a lot at people who can’t hear him, realizes that he can’t touch anything in the physical world and thus can’t save himself with his ghost body, and cycles through stages of grief like he’s doing the Tour de France. Oops. 

After assessment, Seungtak takes him to the ER so some surgeon can perform a cardiac tamponade surgery—except the surgeons aren’t answering their phones. Like, none of them. What the hell is going on in this hospital??

So then our brave little toaster Takkie decides to pick up the scalpel himself, despite being visibly panicked. Youngmin, an eternal micromanager, automatically reaches to correct Seungtak’s grip and possesses him instead. 

We end the episode with Youngmin doing surgery on himself??

[mcatmemoranda]

Patient is a [ ] yo male/female presenting to the clinic for a preoperative evaluation.

Procedure [ ]

Scheduled date of procedure [ ]

Surgeon performing procedure requesting consultation for preop is [ ] and can be contacted at [ ]

This patient is/is not medically optimized for the planned surgery, see below for details.

EKG collected in office, interpreted personally and under the direct supervision of attending physician as follows- sinus rate and rhythm, no evidence of ischemia or ST abnormalities, no blocks, normal QTc interval.

The following labs are to be completed prior to surgery, and will be evaluated upon completion. Procedure is to be performed as scheduled barring any extraordinary laboratory derangements of concern.

Current medication list has been thoroughly reviewed and should not interfere with surgery as written.

Patient has no prior history of adverse reactions to anesthesia, problems with airway management, difficult IV access, prolonged emergence, or postoperative nausea/vomiting.

Airway Mallampati score: This patient is a Grade based on the criteria listed below

-Grade I Tonsillar pillars, soft palate, entire uvula

-Grade II Tonsillar pillars, soft palate, part of uvula

-Grade III Soft palate, base of uvula

-Grade IV Hard palate only, no uvula visualized

Patient is a low/medium/high risk for this low/medium/high risk surgical procedure.

Will send documentation of this preoperative visit to surgeon [ ].

**** ADDITIONAL INFORMATION****

Patient Risk for Elective Surgical Procedure as Determined with the Criteria Below:

1- Very Low Risk

No known medical problems

2- Low Risk

Hypertension

Hyperlipidemia

Asthma

Other chronic, stable medical condition without significant functional impairment

3- Intermediate Risk

Age 70 or older

Non-insulin dependent diabetes

History of treated, stable CAD

Morbid obesity (BMI > 30)

Anemia (hemoglobin < 10)

Mild renal insufficiency

4- High Risk

-Chronic CHF

-Insulin-dependent diabetes mellitus

-Renal insufficiency: creatinine > 2

-Moderate COPD: FEV1 50% to 70%

-Obstructive sleep apnea

-History of stroke or TIA

-Known diagnosis of dementia

-Chronic pain syndrome

5- Very High Risk

-Unstable or severe cardiac disease

-Severe COPD: FEV1 < 50% predicted

-Use of home oxygen

-Pulmonary hypertension

-Severe liver disease

-Severe frailty; physical incapacitation

Surgical Risk Score Determined as Below:

1- Very Low Risk

Procedures that usually require only minimal or moderate sedation and have few physiologic effects

-Eye surgery

-GI endoscopy (without stents)

-Dental procedures

2- Low Risk

Procedures associated with minimal physiologic effect

-Hernia repair

-ENT procedures without planned flap or neck dissection

-Diagnostic cardiac catheterization

-Interventional radiology

-GI endoscopy with stent placement

-Cystoscopy

3- Intermediate Risk

Procedures associated with moderate changes in hemodynamics, risk of blood loss

-Intracranial and spine surgery

-Gynecologic and urologic surgery

-Intra-abdominal surgery without bowel resection

-Intra-thoracic surgery without lung resection

-Cardiac catheterization procedures including electrophysiology studies, ablations, AICD, pacemaker

4- High Risk

Procedures with possible significant effect on hemodynamics, blood loss

-Colorectal surgery with bowel resection

-Kidney transplant

-Major joint replacement (shoulder, knee, and hip)

-Open radical prostatectomy, cystectomy

-Major oncologic general surgery or gynecologic surgery

-Major oncologic head and neck surgery

5- Very High Risk

Procedures with major impact on hemodynamics, fluid shifts, possible major blood loss:

-Aortic surgery

-Cardiac surgery

-Intra-thoracic procedures with lung resection

-Major transplant surgery (heart, lung, liver)

High risk surgery: yes/no

Hx of ischemic heart disease: y/n

Hx of CHF: y/n

Hx of CVA/TIA: y/n

Pre-op tx with insulin: y/n

DM/how are blood sugars?

Pre-op Cr >2mg: y/n

OTHER EVALUATIONS BASED OFF PATIENT HISTORY SEE BELOW:

1. CARDIAC EVALUATION

A. Ischemic Cardiac Risk- Describe any history of cardiovascular disease and list the cardiologist/electrophysiologist. For CAD, report the results of the most recent stress test or cardiac cath, type of procedures or type of stents, date of MI, and recommendations for perioperative management. Include antiplatelet management. Continue baby aspirin for patients with cardiac stents - unless having neurosurgery, then coordinate with surgeon.

B. Ventricular function - include most recent echocardiogram evaluation ideally performed within the past 2 years

C. Valvular heart disease- include most recent echocardiogram, type of prosthetic valve

D. Arrhythmias - include any implanted devices and recent interrogation report, contact electrophysiology about device management during the surgery and include recommendations provided. For A-Fib, include CHA2DS2-VASc score

E. Beta blockade - All patients on chronic beta blockers should have these medications continue throughout the perioperative period unless there is a specifically documented contraindication.

F. Hypertension - Other than for cataract surgery, ACEI inhibitors and ARBs should be held for 24hours prior to surgery and diuretics should be held the morning of surgery

G. Vascular disease - include antiplatelet management and dates of strokes

2. PULMONARY EVALUATION

A. COPD/Asthma - include any recent exacerbations, intubations, chronic O2 use, amount of rescue inhaler use

B. OSA risk - STOPBANG score - address severity of sleep apnea and CPAP use

3. HEMATOLOGIC EVALUATION

A. Bleeding Risk - assess the bleeding risk and history for every patient

B. VTE Prophylaxis/Thrombotic risk - estimate risk and provide recommendations

C. Anticoagulation management - include pre-op and post-op medication instructions

D. Anemia - pre-op treatment plan

D. Oncology - history and treatments

4. ENDOCRINE EVALUATION

A. Diabetes mellitus - include type, medication use, recent A1c, pre-op and post-op management instructions

B. Adrenal insufficiency risk - assess for prolonged steroid use in the last year

5. RENAL EVALUATION

A. CKD - include stage, baseline labs

B. ESRD - include dialysis schedule, type, access, dry weight, location of dialysis. Generally, surgery should not be scheduled on a dialysis day.

C. Electrolyte abnormalities

6. GI EVALUATION

A. Liver disease - including MELD score and Child-Pugh classification

7. OTHER relevant comorbidities or anesthesia considerations

[substance abuse, chronic pain, delirium risk, PONV (post-operative nausea and vomiting) risk, psych disorders, neurologic disorders, infectious disease, etc.]

[nursingwriter]

Quality and Data-Based Management NewYork-Presbyterian Hospital The purpose of this paper is to examine the organization of NewYork- Presbyterian Hospital in relation to the hospital's quality indicators and measures that are currently in place. Further to identify quality indicators and goal measurements used in the organization plan and also to review the mission statement and vision. Rigorous standards are used in ranking healthcare institutions particularly when ranking is applied to hospitals. There are approximately 6,012 hospitals in the United States not including military and veteran facilities and out of all of those "only 177 or fewer than 1 in 30 were of high enough quality to be ranked in even a single specialty this year."(Souroujon, 2004) The first category applied in consideration of a hospital's ranking is that of the hospital's "reputation." (Souroujon, 2004) The second category is that of "mortality ratio" (Souroujon, 2004) and the last is a miscellaneous category of "other care-related" factors. (Souroujon, 2004) Among the hospitals that were in the ranking as being one of the country's "Best Hospitals" is the "NewYork-Presbyterian Hospital." (Souroujon, 2004) Overview of the NewYork Presbyterian Hospital (NYPH) The New York Presbyterian Healthcare System is stated to be a "federation of top-quality hospitals, specialty institutes, and continuing care centers throughout New York, New Jersey, and Connecticut." All members in the NYPH System are "academic affiliates of the two Ivy League Medical Institutions of Weill Medical College of Cornell University and Columbia University College of Physicians and Surgeons." Five centers comprise the New York Presbyterian Hospital, which are stated to be: "NewYork- Presbyterian/Columbia University Medical Center; the Allen Pavilion of NewYork-Presbyterian Hospital; the Westchester Division; and Children's Hospital of NewYork-Presbyterian." According to the online website the New York Presbyterian Hospital is not only "one of the largest" but also one of the most "comprehensive university hospitals in the world." Cornell and Columbia Universities' primary teaching sites are on the campuses of the NewYork Presbyterian Hospital campus. The NYP Hospital Centers of Excellence are those of: "cardiac care, pediatrics, burn care, reproductive medicine and infertility, cancer care, trauma, women's health liver disease and transplant as well as psychiatry." The patients come from locations worldwide to receive care from the hospital. Three Medicaid managed care plans (PHSPs) are operated by the NYP Hospital namely the Community Premier Plus, New York Hospital Community Health Plan, and NewYork Presbyterian Healthcare System SelectHealth. The NYP Hospital is active in the development of clinical, academic and research programs at the System member institutions. Quality Indicators Quality indicators are stated by the National Healthcare Quality Report to be that of the following: "Reduction of medical errors with research, improving reporting systems for errors and adverse events, increasing the appropriate use of effective healthcare services by medical providers; increasing consumer and patient use of valid, reliable health care quality information, improving consumer and patient protections; and accelerating the development and use of an electronic health information infrastructure. (National Health Care Quality Report, 2005) Each of these quality indicators is evidenced at the NewYork Presbyterian Hospital in the initiatives, research and programs of the facility. Mission Statement NewYork Presbyterian Hospital has a stated mission of "being a leader in the provision of world class patient care, teaching, research, and service to local, state, national and international communities" and is committed to providing the following: High quality and compassionate patient care; Outstanding clinical education to physicians, biomedical scientists, and other healthcare professionals; Innovative healthcare research and scientific discovery; Responsible and proactive community service; Unmatched service to patients, families, and visitors; and A safe work environment, competitive compensation, and the opportunity for career advancement to its staff." Vision The Vision of the NYPH is to be "recognized as one of the nation's top academic medical centers, noted for clinical service excellence and for the care" that are given patients. The hospitals states the following will be done to realize the vision that is inclusive of the following: Provide the highest standards of care in all our clinical areas Make the well-being and safety of our patients our highest priority Recruit and retain the finest health care practitioners Be at the forefront of medical innovation, developing new cures, treatments, and technologies Work closely with our affiliated medical schools, Columbia and Weill Cornell, to advance medical science and train the finest physicians Practice fiscal discipline and efficient management and maximize revenues from our core services Create opportunities by generating alternative revenues through investments, fundraising, grants, and technology transfer Commit to a strong NewYork-Presbyterian Healthcare System that fosters clinical quality, research and education over a wide geographic region and benefits its members and their communities. The Office of External Relations is responsible for Serving as an internal resource to facilitate sharing of innovations across a wide array of service lines and clinical operations. The Health Collaborative Network (HCN) is an initiative of a group of healthcare providers, public health agencies and government agencies that intend to demonstrate how electronic standards-based communications can improve care given to patients and reduce errors. Initial participants are NewYork-Presbyterian Hospital, Vanderbilt University Medical Center, Wishard Memorial Hospital, and the Centers for Disease Control and Prevention, Center for Medicare and Medicaid Services and the Food and Drug Administration. (Connor, 2003) The following table labeled Figure 1.0 shows the Facts and Statistics projected for the year 2005. Figure 1.0 Summary & Conclusion The research, electronic records, patient care, specialization units, Centers of Excellence are all part of what makes NewYork Presbyterian Hospital one of the Best Hospitals in the Country and is an excellent model for patient care in the hospital industry. Bibliography Cornarow, Avery (2004) Methodology Behind the Rankings Best Hospitals 2004; U.S. News Online at: http://www.usnews.com/usnews/health/hosptl/methodology.htm National Health Care Quality Report: High Quality Health Care Is Not Yet a Universal Reality Connor, Deni (2003) Healthcare Network Aims to Improve Patient Care Network World Fusion 2005 June 3. Souroujon, Andre (2004) Best Hospitals 2004 U.S. News Report NewYork-Presbyterian Hospital Souroujon, Andre (2004) Best Hospitals 2004 U.S. News Report NewYork-Presbyterian Hospital NewYork-Presbyterian Hospital NewYork-Presbyterian Hospital NewYork-Presbyterian Hospital Ibid. Connor, Deni (2003) Healthcare Network Aims to Improve Patient Care Network World Fusion 2005 June 3 Read the full article

[rpshospital]

Best Multi-Speciality Hospital In Chennai: Excellence in Healthcare

Introduction

Chennai is renowned for its exceptional healthcare facilities, attracting patients from across India and abroad. The city is home to some of the most advanced hospitals that offer world-class treatment across multiple specialities. Finding the best multi-speciality hospital in Chennai is crucial for receiving high-quality medical care under one roof. These hospitals provide expert consultation, advanced diagnostic services, and cutting-edge treatment options, ensuring a seamless healthcare experience for patients.

From cardiac care to neurology, orthopedics to oncology, the leading multi-speciality hospitals in Chennai cater to various medical needs with state-of-the-art infrastructure and a team of highly skilled doctors. In this article, we explore the key features, specialities, and facilities of the best multi-speciality hospitals in Chennai, helping you make an informed decision for your healthcare needs.

Why Choose the Best Multi-Speciality Hospital in Chennai?

The best multi-speciality hospital in Chennai offers a holistic approach to patient care, integrating advanced medical technology, experienced specialists, and comprehensive treatment plans. With cutting-edge infrastructure and multi-disciplinary teams, these hospitals cater to a wide range of medical conditions, ensuring patients receive the best possible care.

Key Specialties Offered by Top Multi-Speciality Hospitals

A multi-speciality hospital provides treatments across various medical disciplines. Some of the major specialities include:

1. Cardiology: Advanced Heart Care

Cardiac diseases require precise diagnosis and expert intervention. The leading hospitals in Chennai offer:

Interventional cardiology (angioplasty, stenting)

Cardiac surgery (bypass surgery, valve replacement)

Non-invasive cardiology (ECG, stress tests, echocardiography)

2. Neurology & Neurosurgery: Cutting-Edge Brain and Nerve Care

From stroke management to brain surgeries, top hospitals provide:

Neurodiagnostics (EEG, MRI, CT scans)

Minimally invasive neurosurgeries

Rehabilitation for neurological disorders

3. Orthopedics: Advanced Bone & Joint Treatments

For fractures, joint replacements, and spine care, hospitals offer:

Total knee and hip replacement

Arthroscopy and sports injury treatments

Spinal surgeries and rehabilitation

4. Oncology: Comprehensive Cancer Care

The best multi-speciality hospitals in Chennai provide:

Medical, surgical, and radiation oncology

Chemotherapy and immunotherapy

Robotic-assisted cancer surgeries

5. Gastroenterology: Specialized Digestive Health Care

Treatment for digestive disorders includes:

Endoscopic procedures (colonoscopy, gastroscopy)

Liver and pancreatic disease treatments

Minimally invasive GI surgeries

6. Nephrology & Urology: Kidney and Urinary System Care

Dialysis and kidney transplant

Urological surgeries (prostate, bladder issues)

Laser treatment for kidney stones

7. Obstetrics & Gynecology: Women’s Health & Maternity Care

High-risk pregnancy management

Advanced fertility treatments

Minimally invasive gynecological surgeries

State-of-the-Art Facilities at the Best Multi-Speciality Hospital in Chennai

The top hospitals are equipped with: ✔ 24/7 Emergency and Trauma Care – Immediate medical attention for accidents and critical conditions. ✔ ICU & Critical Care Units – Advanced life support for severe cases. ✔ Robotic & Laparoscopic Surgery – Minimally invasive procedures for faster recovery. ✔ In-House Pharmacy & Laboratory – Quick access to medicines and diagnostic tests. ✔ World-Class Operation Theaters – Equipped with the latest medical technology.

Choosing the Best Multi-Speciality Hospital in Chennai

When selecting a hospital, consider:

Expertise & Specialization: Check for highly qualified doctors and surgeons.

Technology & Infrastructure: Look for hospitals with modern diagnostic tools and advanced treatment options.

Patient Reviews & Success Rates: Read testimonials and success stories.

Insurance & Affordability: Ensure cashless treatments and medical insurance coverage.

Why RPS Hospital is the Best Multi-Speciality Hospital in Chennai?

RPS Hospital stands out as a premier healthcare provider in Chennai, offering world-class medical services across multiple specialities. With a patient-centric approach, advanced medical technology, and a team of highly experienced doctors, RPS Hospital ensures superior treatment and compassionate care.

Visit RPS Hospital Today!

If you are looking for the best multi-speciality hospital in Chennai, RPS Hospital is your trusted healthcare partner. Book an appointment today and experience top-notch medical care.

[healthtourismmejocare]

Affordable Open Heart Surgery in India – Costs, Benefits & Top Hospitals

Open heart surgery is a major procedure performed to correct serious heart conditions like blocked arteries, valve issues, and congenital defects. The procedure involves opening the chest to access the heart for necessary repairs or replacements. India has gained worldwide recognition for its success in performing these surgeries at affordable rates.

The cost of open heart surgery in India depends on multiple factors, including:

Coronary Artery Bypass Grafting (CABG): Common for blocked arteries, typically less expensive.

Valve Replacement: Costs vary depending on whether a mechanical or tissue valve is used.

Congenital Heart Defect Surgery: Specialized procedures for birth-related heart conditions.

Premium hospitals in metro cities like Delhi, Mumbai, and Bangalore charge more.

Internationally accredited hospitals with cutting-edge technology may have higher fees.

Highly experienced cardiac surgeons command higher fees.

The complexity of the procedure can impact overall expenses.

Robotic-assisted and minimally invasive techniques increase costs.

The use of advanced monitoring systems and post-surgical care can add to the total expenses.

ICU stay, medications, and rehabilitation contribute to the final bill.

Additional procedures like pacemaker implantation may increase costs.

The Open Heart Surgery Cost in India typically ranges from ₹2,00,000 to ₹7,00,000 ($2,500 - $8,500 USD) depending on the type of procedure and hospital chosen. In comparison, the same procedure in the US or UK costs ₹20-30 lakh ($25,000 - $40,000 USD), making India a cost-effective alternative.

CABG (Bypass Surgery): ₹2,50,000 – ₹4,50,000 ($3,000 - $5,500)

Valve Replacement: ₹3,00,000 – ₹6,00,000 ($3,800 - $7,500)

Congenital Heart Surgery: ₹3,50,000 – ₹7,00,000 ($4,500 - $8,500)

India offers world-class cardiac care at competitive prices. Key reasons include: ✔ Affordable Pricing: High-quality treatment at a fraction of the global cost. ✔ Top-Tier Hospitals: Internationally accredited medical centers with cutting-edge technology. ✔ Experienced Cardiac Surgeons: Specialists with global expertise and a high success rate. ✔ Minimal Waiting Time: Quicker scheduling compared to Western healthcare systems. ✔ Medical Tourism Services: Many hospitals offer complete packages, including surgery, stay, and post-operative care.

When choosing a hospital, consider the following: 📌 Certifications & Accreditations: Look for NABH, JCI, or ISO-certified hospitals. 📌 Surgeon’s Expertise: Check qualifications and patient reviews. 📌 Success Rates: Evaluate hospital records for cardiac surgeries. 📌 Post-Surgical Facilities: Ensure access to rehabilitation and physiotherapy.

The Open Heart Surgery Cost in India is a major advantage for patients worldwide, offering high-quality treatment at affordable prices. With world-class hospitals, skilled surgeons, and comprehensive healthcare services, India is a preferred destination for heart surgery. If you or your loved one needs open-heart surgery, consulting with a trusted specialist is the first step toward recovery.

[tricky-pockets]

I have learned so much about failsafes and regulation since I started working as a medical device assembler. We have to follow FDA and ISO regulations and I have seen those practices prevent product going out the door that would've killed someone.

Everything I make is traceable at every step, down to the lot number of the glue. I have to sign off on every step of every job I work on. If a cannula I made failed, the report would come back to ME specifically.

When we notice a flaw in one piece that made it farther down the line than it should have, we stop the job until every piece has been reinspected. And then it gets reviewed to find out how it happened. There are levels of escalation from 'temporary hold on one job' to 'emergency recall of all of this product line' and a stringent procedure for executing them.

I can't wear nail polish at work because there's a minute chance that some might chip off and end up in the product and be introduced into a blood vessel during a surgery. That's a good rule!

When I start a print run of depth marks on a cannula, three people have to compare my sample print to the spec and sign off that it's correct, complete, legible, aligned, and the dimensions are within tolerance. And then I STILL check the dimensions on every single piece to make sure I lined it up right in the printer. Those are good rules! If a surgeon is using those depth marks to place the cannula during a cardiac surgery, they better be accurate.

If the seal on the packaging is a little off, that can cause problems when it goes to get sanitized. If there's a little too much glue, that can chip off and cause an obstruction. If there's a flaw in the plastic molding, that can perforate a blood vessel. If the components get mixed (with components from the previous job), we can't trace all of that lot and it won't get caught in a recall.

I could go on, but you get the picture. This job has convinced me that medical equipment should be made exclusively by nitpicky autistic people who won't hesitate to raise hell over the slightest irregularity (and can point to FDA and ISO standards to back them up).

I think I can trace my intense hatred for the whole "regulations are just corporate bullshit, building codes are just The Man's way of keeping you down, we should return to pre-industrial barter and trade systems" nonsense back to when I first started doing electrical work at one of the largest hospitals in the country.

I have had to learn so much about all the special conditions in the National Electric Code for healthcare systems. All the systems that keep hospitals running, all the redundancies and backups that make sure one disaster or outage won't take out the hospital's life support, all the rules about different spaces within the hospital and the different standards that apply to each of them. And a lot of it is ridiculously over-engineered and overly redundant, but all of it is in the service of saving even one life from being lost to some wacky series of coincidences that could have been prevented with that redundancy.

I've done significantly less work in food production plants and the like, but I know they have similar standards to make sure the plants aren't going to explode or to make sure a careless maintenance tech isn't accidentally dropping screws into jars of baby food or whatever. And research labs have them to make sure some idiot doesn't leave a wrench inside a transformer and wreck a multi-million dollar machine when they try to switch it on.

Living in the self-sufficient commune is all fun and games until someone needs a kidney transplant and suddenly wants a clean, reliable hospital with doctors that are subject to some kind of overseeing body, is my point.

[drpavankumarblog]

Choosing the Right Heart Surgeon: A Comprehensive Guide

Introduction

Choosing the right heart surgeon is a critical choice that can fundamentally influence your wellbeing and recuperation. Whether you're confronting a normal method or a mind boggling a medical procedure, the mastery and experience of your heart surgeon are vital. This guide plans to assist you with exploring the most common way of finding the best heart surgeon for your necessities, guaranteeing you settle on an educated and sure decision.

Grasping the Significance of the Right heart surgeon

Heart surgery is a significant operation that requires accuracy, expertise, and broad experience. The right heart surgeon can have an effect in:

Careful Results: Higher achievement rates and less difficulties.

Recuperation Time: Quicker and more agreeable recuperation process.

By and large Experience: Better pre-medical procedure readiness and post-medical procedure care.

Key Variables to Consider

Capabilities and Qualifications

Board Accreditation: Guarantee the specialist is board-confirmed in cardiovascular medical procedure.

Instruction and Preparing: Search for specialists who have finished legitimate clinical schools and high level preparation programs.

Experience and Specialization

Long stretches of Training: More experience frequently corresponds with improved results.

Specialization: A few specialists have practical experience in unambiguous sorts of Heart surgery, for example, valve fix, coronary supply route sidestep uniting (CABG), or negligibly obtrusive methods.

Clinic Alliance

Notoriety of the Clinic: Consider specialists subsidiary with highest level emergency clinics known for their heart care.

Assets and Offices: Excellent medical clinics regularly have better assets and offices, adding to work on understanding consideration.

Achievement Rates and Patient Results

History: Exploration of the specialist's prosperity rates and patient results, especially for the system you want.

Confusion Rates: Lower inconvenience rates are characteristic of a talented and cautious specialist.

Correspondence and Solace

Patient-Specialist Relationship: Pick a specialist who conveys obviously and causes you to feel good.

Accessibility: Guarantee the specialist is available for conferences and follow-up arrangements.

Proposals and Audits

References: Look for references from your essential consideration doctor, cardiologist, or other medical services experts.

Patient Tributes: Read surveys and tributes from past patients to measure their fulfillment and encounters.

Moves toward Track down the Right heart surgeon:

Research and Compile a List

Start with a list of board-certified heart surgeons in your area.

Utilize online resources, hospital websites, and medical directories.

Consult with Your Cardiologist

Discuss your options with your cardiologist, who can provide insights and recommendations based on your medical history and specific needs.

Schedule Consultations

Arrange consultations with a few shortlisted surgeons to discuss your condition, treatment options, and the surgeon's approach.

Ask Important Questions

Inquire about the surgeon’s experience with your specific procedure.

Ask about the expected outcomes, risks, and recovery process.

Discuss the surgeon’s approach to patient care and follow-up.

Evaluate Your Options

Compare the information gathered from consultations.

Consider the surgeon’s experience, communication style, and the hospital’s reputation.

Conclusion:

Picking the right heart surgeon is a basic move toward guaranteeing an effective medical procedure and smooth recuperation. By taking into account capabilities, experience, medical clinic alliance, and patient audits, you can pursue an educated choice that lines up with your requirements and assumptions. Keep in mind, your wellbeing is central, and setting aside some margin to choose the best heart surgeon can give genuine serenity and essentially work on your careful experience.

In the event that you have any inquiries or need further help with your quest for a heart surgeon, go ahead and connect for a more customized direction. Your heart wellbeing merits the most ideal consideration.

[juliodrjulioewilliams]

A Time Well Spent: Importance of the Pre-Operative Visit – A Surgeon’s Perspective

In modern healthcare, where efficiency and cost-cutting measures often dictate clinical workflows, the pre-operative visit remains an irreplaceable pillar of surgical preparation. Whether the surgery is elective or an emergency, this visit plays a fundamental role in ensuring patient safety, fostering trust, and optimizing surgical outcomes. As one of the top cardiovascular surgeons in California, we recognize the immense value of dedicating ample time to these crucial consultations.

With the increasing demands on surgeons and healthcare providers, the time available for one-on-one patient interactions has significantly decreased. However, this should not undermine the essential purpose of the pre-op visit, which is to establish a strong rapport between the patient and their surgeon, conduct a thorough clinical evaluation, and set realistic expectations for the surgical journey ahead.

Why the Pre-Operative Visit Is Essential

The pre-operative visit is much more than just a formality; it is a critical step in the surgical process. As one of the best thoracic surgeons in California, we emphasize that this visit serves several vital purposes:

1. Establishing Trust and Reassurance

Surgery is a life-altering event, and patients naturally experience anxiety, fear, and uncertainty. During the pre-op visit, the surgeon has an opportunity to build trust, address concerns, and explain the procedure in a way that provides clarity. This is where the patient evaluates whether they can truly trust their Minimally Invasive Surgeon in California with their life. The ability to connect on a human level fosters confidence and reduces pre-operative stress, which has been linked to better post-surgical outcomes.

2. Comprehensive Medical Assessment

Each patient presents a unique set of health conditions, comorbidities, and risk factors. A thorough pre-operative evaluation ensures that all underlying medical issues are identified and appropriately managed before surgery. This includes:

Review of medical history

Physical examination

Laboratory and imaging tests

Cardiac and pulmonary assessments, if necessary

Medication review and adjustments

This approach significantly reduces surgical risks and enhances patient safety.

3. Optimizing Surgical Outcomes

A well-prepared patient is more likely to experience fewer complications and a smoother recovery. The pre-op visit allows surgeons to recommend lifestyle modifications, such as quitting smoking, managing diabetes, optimizing weight, or improving cardiovascular fitness, which can all influence surgical success. As one of the top cardiovascular surgeons in California, we prioritize patient education and preparation as part of our commitment to excellence.

4. Ensuring Fully Informed Consent

Transparency is fundamental in surgical care. The pre-op visit is the time to discuss the procedure in detail, including:

Surgical techniques and alternatives

Benefits and potential risks

Expected recovery timeline

Possible complications

Post-operative care and follow-up plan

Establish a contingency plan regarding u foreseen situations and how to handle them in the immediate post op period and the rest of the hospital stay. 

This ensures that the patient and their family have realistic expectations, and most importantly, it provides the patient with the knowledge necessary to give informed consent.

The Impact of Time Constraints on Patient Care

In today's fast-paced healthcare system, surgeons and clinicians often face increasing pressure to shorten consultation times. However, studies show that patients who receive thorough pre-operative counseling experience better surgical outcomes, fewer complications, and lower rates of medical malpractice claims.

As a leading Minimally Invasive Surgeon in California, we recognize the need to allocate adequate time for each patient. Rushing through a pre-op consultation can lead to misunderstandings, heightened patient anxiety, and suboptimal preparation, all of which can negatively impact the surgical outcome.

Bridging the Communication Gap

Many patients struggle with understanding complex medical jargon, especially if English is not their primary language. It is the surgeon's responsibility to communicate in a way that resonates with the patient, using clear, simple language and lay terms that aligns with their level of understanding. Encouraging questions, addressing concerns, and offering written materials online resources  or visual aids can further enhance patient comprehension and comfort.

Statistical Evidence Supporting the Pre-Operative Visit

Research has consistently shown that a well-structured pre-op visit leads to:

Lower rates of surgical complications

Higher patient satisfaction

Reduced hospital readmissions

Improved post-operative recovery

Lower incidence of medical-legal issues

By investing time in pre-operative discussions, top cardiovascular surgeons in California can ensure higher quality care, ultimately benefiting both the patient and the healthcare system.

Conclusion: Prioritizing the Patient’s Journey

A well-executed pre-operative visit is not a luxury—it is a necessity. As a leading Minimally Invasive Surgeon in California, we are committed to ensuring that every patient receives comprehensive, compassionate, and high-quality surgical care. From the initial consultation to the post-operative recovery phase, our goal is to prioritize patient safety, trust, and satisfaction.

For patients facing cardiovascular and thoracic procedures, a thorough pre-op visit is a time well spent. It lays the foundation for successful surgical outcomes, reduced complications, and a seamless recovery, increasing patient satisfaction and encouraging compliance with future medical management plans.

[nezuswritingdesk]

Miya's dynamic with the lnds men!

A/N: happy valentines! Here's my MC's (Miya) dynamic, tropes, and headcanons with the lnds men.

Xavier and Miya ✨️🦪

Tropes involved: workplace romance, close proximity, colleagues to lovers, matching each other's freaks?, can't cook and can barely cook

Headcanons :

Definitely a new couple (has been dating for a year or a year and a half)

Their favorite dates are: arcade dates, convenience store dates, late night dates, nature walks, scrapbook dates, and food dates

They have a shared journal. It gets filled up when they go on a date.

They love to journal together! Miya collects stickers and Xavier collects literally anything — ticket stubs, receipts, etc.

Late night talks!

Miya tries to cook food for them. Emphasis on tries.

Miya is a little baby spoon, Xavier is a big spoon.

Miya also gets really jealous like Xavier. They match.

He helps her find her glasses.

He soothes her after suffering from nightmares

Miya (a part-time hunter, because she works at a laboratory primarily, the hunter thing is a side hustle so that she can get enough money to go to med school) patches up Xavier's wounds after his missions.

They try to stargaze when they can (the light pollution sucks but good thing that Xavier can teleport them somewhere farther from all the lights)

When they don't have work, they like to do nothing and sleep.

Zayne and Miya 🦪❄️

Tropes involved: childhood friends to lovers, pinning, domestic fluff , ofc they both work in the med field, introverted ² , banter plus sarcasm

Headcanons:

Has been dating for years. Zayne graduated early in college and went along to be a cardiac surgeon whilst Miya becomes a laboratory scientist (part-time hunter)

She works in a different laboratory.

Despite their busy schedule, they still try to visit each other

Miya had practiced venipuncture on Zayne in college. Zayne trusts her to draw his blood.

Beyond work, they are so lovey dovey, it's sickening. Its giving married couple

She cuddles up to Zayne when it gets too hot. THEY ARE BOTH SEVERELY TOUCH-STRAVED.

Miya kept every letter and gift Zayne gave her in a box in their closet. She doesn't know if he knows or not.

Favorite dates: bakery, coffee shops, library, study

They're both sweet tooths ? Sweet teeth? 😭

Would probably fight each other for chocolate , pastries, anything sweet (they might as well see a dentist)

Zayne helped her review for her board exam and she helps him study or do paperwork. They like their work together lol

Has two cats! Pantoprazole and Spectrometry (also known as panpan and spectro for short), those two are their babies. Zayne named them, that explains the fancy terms.

They like to meal prep together!

Rafayel and Miya 🐡🦪

Tropes involved: artist x muse, nonchalant x over reactive, likes cats x doesn't like cats , teaser x gets teased , banter

Definitely a newer couple like Xavier and Miya , probs almost a year into dating

Rafayel loves to take photos of Miya, loves to draw and sketch her when she comes over to his place

The muse at his recent art exhibitions

Rafayel tries his best to get her plushies (they only got 2— those are the ones on top of their heads)

Favorite dates: museum, ocean, aquarium, late night drives in his sports car

Miya collects him shells and gives it to him (it's like her version of pebbling)

Miya adopted a tiny baby kitten— the little baby (her name is baby) adores rafayel but oh well :(

she helps feed reddie when she's there

helps him with ideas

Rafayel loves to bring her around, calling her his girlfriend, bodyguard, etc

they like to swim together but miya isn't the best swimmer but rafayel likes to tease her before swimming back to her

rafayel and miya likes to match their clothes! absolute fashion icons (he'd do her makeup even)

they make each other jewelry

sylus x miya 🪶🦪

tropes involved: rivals to lovers, charismatic x easily flustered, sweethearts in love, absolute power couple, princess treatment

headcanons:

miya helps him patch the twins' wounds and by extent some of his

absolute princess treatment from sylus

has been dating for a while too (has passed the rivals to lovers stage)

miya gets flustered when sylus opens his mouth and talks

sylus buys her pretty jewelry, the most finest pearl earrings (her favorite kind)

miya writes poetry and sylus reads it to her at night,

sylus likes to braid her hair and miya brushes her fingers through his hair

sylus gets her clothes customed made!

Favorite dates: dinners, rooftop dates, late night motorcycle rides, auctions, attempts at slow dancing, shopping spree

absolute power couple

customed clothes for the both of them

sylus cooks and helps miya when doing chores

absolute lover boy sylus and miya who's an absolute sweetheart baby

Caleb and Miya 🍎🦪

tropes involved: childhood friends to lovers, has known each other since, puppy x puppy relationship, extrovert x introverted , pinning

headcanons:

Caleb likes to cook for Miya. in thanks, Miya washes the dishes.

has known each other since and memorized each other

miya was scared of Caleb when they reunited again

Favorite dates: park dates, arcades, outdoors, photobooth, cafes

miya cheers for Caleb when he used to play sports

since they reunited, they loved to go to photobooths and take photos

love to do errands together

Caleb buys fruits for Miya

so much PINNING. LITERAL DECADES OF PINNING.

have been living together in skyhaven and likon

miya keeps a plushie of caleb when he's too far

caleb slices her fruits

they hope to live together one day, away from the rest of the world

Caleb loves to tease her and shes all flustered and shy lol

a/n: thank you! happy valentines day!

[anjali12]

Best Cardiothoracic Surgeons in Salem: Excellence in Heart & Lung Care

When it comes to heart and lung health, choosing the best cardiothoracic surgeons in Salem is essential. Cardiothoracic surgery involves procedures related to the heart, lungs, and chest, requiring high levels of expertise and advanced medical technology. Salem is home to top-tier hospitals and skilled surgeons who provide exceptional care for patients suffering from cardiovascular and thoracic conditions.

What is Cardiothoracic Surgery?

Cardiothoracic surgery is a specialized field of medicine that focuses on surgical treatment for diseases of the heart, lungs, esophagus, and chest. The best cardiothoracic surgeons in Salem perform a variety of procedures, including:

Coronary Artery Bypass Grafting (CABG)

Heart Valve Repair and Replacement

Lung Resection Surgery

Aortic Aneurysm Repair

Minimally Invasive Thoracic Surgery

Why Choose the Best Cardiothoracic Surgeons in Salem?

Salem is home to highly qualified cardiothoracic surgeons who are trained in the latest techniques and use state-of-the-art technology to ensure the best patient outcomes. Here are some reasons why choosing the best cardiothoracic surgeons in Salem is crucial:

Expertise & Experience: The leading surgeons have years of experience handling complex heart and lung surgeries.

Advanced Technology: Hospitals in Salem are equipped with modern diagnostic and surgical tools for precision treatment.

Comprehensive Care: From diagnosis to surgery and post-operative care, patients receive holistic treatment.

Minimally Invasive Procedures: Many surgeons specialize in minimally invasive techniques, reducing recovery time and complications.

Common Conditions Treated by Cardiothoracic Surgeons

The best cardiothoracic surgeons in Salem provide treatment for a wide range of conditions, including:

Coronary Artery Disease (CAD)

Congenital Heart Defects

Heart Valve Diseases

Lung Cancer

Thoracic Trauma

Pericardial Diseases

State-of-the-Art Facilities in Salem

Salem is home to world-class healthcare institutions that provide top-quality cardiothoracic care. These hospitals are known for:

Highly Skilled Medical Teams: Surgeons, anesthetists, and specialized nurses work together to provide the best care.

Modern Operating Theaters: Equipped with robotic-assisted technology and advanced imaging for precision surgeries.

24/7 Emergency Care: Immediate response teams are available to handle critical cardiac and thoracic emergencies.

What to Expect During Cardiothoracic Surgery

If you are undergoing surgery with one of the best cardiothoracic surgeons in Salem, here’s what you can expect:

Pre-Surgery Consultation: Your doctor will evaluate your medical history and conduct necessary tests.

Surgical Procedure: Depending on the condition, your surgeon will perform either an open surgery or a minimally invasive procedure.

Post-Surgery Recovery: Patients receive expert post-operative care, including rehabilitation and follow-up check-ups.

Finding the Best Cardiothoracic Surgeon in Salem

To choose the best cardiothoracic surgeon in Salem, consider the following factors:

Experience & Specialization: Look for a surgeon with a proven track record in cardiothoracic surgeries.

Hospital Reputation: Choose hospitals known for excellence in cardiac and thoracic care.

Patient Reviews: Read testimonials and reviews to gauge patient satisfaction.

Availability of Emergency Services: Ensure the facility provides 24/7 emergency cardiac care.

Conclusion

Heart and lung conditions require expert surgical intervention for the best possible outcomes. Choosing the best cardiothoracic surgeons in Salem ensures access to high-quality treatment, advanced surgical techniques, and comprehensive post-operative care. Whether you need heart bypass surgery, valve replacement, or lung surgery, Salem offers top medical professionals to help you achieve optimal health. Prioritize your well-being by selecting experienced specialists and trusted healthcare facilities for your cardiothoracic needs.

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Expert Care with Cardiac Surgeon Doctors

Specialized Treatment for Heart Conditions Cardiac surgeon doctors are highly skilled medical professionals specializing in diagnosing and treating heart diseases. With expertise in performing complex surgical procedures, they provide advanced care for conditions such as coronary artery disease, valve disorders, and congenital heart defects.

Advanced Surgical Procedures Cardiac surgeon doctors perform various heart surgeries, including bypass surgery, valve repair or replacement, heart transplants, and minimally invasive procedures. Their expertise ensures precision and better patient outcomes.

Cutting-Edge Technology and Techniques Equipped with modern medical technology, cardiac surgeon doctors utilize the latest surgical methods to enhance recovery and reduce complications. Techniques such as robotic-assisted surgery and minimally invasive procedures improve success rates and patient comfort.

Comprehensive Pre and Post-Surgical Care Cardiac surgeon doctors provide complete care before and after surgery. Preoperative consultations help assess the patient’s condition, while post-surgical monitoring ensures a smooth recovery and reduces the risk of complications.

Personalized Treatment Plans Each patient receives a tailored treatment plan based on their medical history and specific heart condition. Cardiac surgeon doctors evaluate symptoms, conduct necessary tests, and recommend the most effective surgical approach for optimal heart health.

Trusted Specialists for Heart Health Cardiac surgeon doctors play a crucial role in improving the quality of life for heart patients. Their expertise, combined with compassionate care, ensures better health outcomes and a faster return to daily activities.

Trust experienced cardiac surgeon doctors for advanced heart care and surgical excellence.

Find top cardiac surgeon doctors using the JD app. Download the Justdial app to explore verified specialists, check patient reviews, and compare services. Simplify appointments with the Justdial app download for expert heart care and advanced surgical treatments.

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Essential Surgical Instruments for Precision and Reliability

The Role of High-Quality Surgical Instruments in Healthcare

In the world of medicine, precision and reliability are critical. High-quality surgical instruments ensure that healthcare professionals can perform procedures with accuracy and confidence. Among the many tools available, certain instruments stand out for their specific applications and significance. For those in search of specialized equipment, options like the Buy Now Balfour Abdominal Retractor cater to both general and specialized surgical needs. This tool is indispensable in abdominal surgeries, providing surgeons with optimal visibility and access to internal structures.

Exploring Micro Surgery Instrument Kits

Micro surgeries require unparalleled precision, and the tools used in these procedures must meet exacting standards. For those in need of specialized tools, the Micro Surgery Instrument Kit for Sale offers a comprehensive set of instruments tailored to the delicate nature of these surgeries. From ophthalmology to neurology, micro surgery instrument kits are designed to assist professionals in procedures where the smallest details matter most.

These kits are meticulously crafted, often incorporating advanced technology to enhance their performance. With ergonomic designs and sharp edges, they reduce surgeon fatigue and improve surgical outcomes. As more healthcare facilities prioritize minimally invasive procedures, the demand for these kits continues to grow, making them a vital addition to any medical setup.

Where to Find Medical Diagnostic Instruments

Diagnostic instruments play a fundamental role in identifying and monitoring medical conditions. They are the foundation of effective healthcare, enabling practitioners to provide accurate diagnoses and tailored treatment plans. If you’re looking for affordable and reliable options, exploring a Sale Medical Diagnostic Instruments collection can provide access to high-quality tools at competitive prices.

These instruments range from stethoscopes and blood pressure monitors to advanced imaging devices. By investing in top-tier diagnostic tools, healthcare providers can ensure that patients receive the best possible care. Sales and promotions on medical instruments offer an excellent opportunity for hospitals, clinics, and even private practices to upgrade their equipment without exceeding their budgets.

The Importance of Cardiovascular Instruments in Modern Medicine

Cardiovascular surgeries are among the most intricate and life-saving procedures performed today. To execute these surgeries with precision, surgeons rely on a variety of specialized tools. For those looking to equip their practice with these tools, the option to Buy Cardiovascular Instruments Set Online offers convenience and accessibility.

These instrument sets typically include items such as clamps, forceps, and retractors designed specifically for cardiac and vascular surgeries. By purchasing them online, medical professionals and institutions can compare products, read reviews, and select the most appropriate set for their needs. Online platforms also provide the benefit of delivery services, ensuring that these critical instruments are available whenever and wherever they are needed.

Why the Balfour Abdominal Retractor Is a Must-Have

One of the most sought-after tools in surgical procedures, the Buy Now Balfour Abdominal Retractor is an essential addition to any surgical toolkit. This retractor is specifically designed to hold open abdominal incisions, providing clear visibility and access to internal organs.

Its sturdy construction and adjustable features make it suitable for various abdominal procedures, from exploratory surgeries to complex operations. The retractor's ergonomic design reduces strain on the surgical team, enabling them to focus on the procedure at hand. Whether you're setting up a new surgical unit or upgrading your current equipment, this tool is a worthwhile investment for any healthcare facility.

The Convenience of Buying Medical Instruments Online

The digital era has revolutionized the way medical professionals source their equipment. Platforms offering options like Buy Cardiovascular Instruments Set Online or Micro Surgery Instrument Kit for Sale have made it easier than ever to access high-quality tools.

Online stores provide a wide range of products, detailed descriptions, and customer reviews, helping buyers make informed decisions. Additionally, the convenience of home delivery saves time and ensures that critical instruments are available when needed. Whether you’re managing a large hospital or running a private clinic, the ability to shop for medical instruments online simplifies the procurement process and keeps healthcare operations running smoothly.

Enhancing Medical Practice with Advanced Diagnostic Tools

Effective diagnosis is the cornerstone of successful treatment. With advancements in technology, today’s diagnostic tools are more accurate and efficient than ever. Taking advantage of promotions such as Sale Medical Diagnostic Instruments allows healthcare providers to integrate the latest innovations into their practices without exceeding their budgets.

By upgrading to advanced diagnostic tools, medical professionals can improve patient outcomes and streamline their workflows. These instruments not only enhance accuracy but also save time, allowing practitioners to focus on providing exceptional care.

Why Investing in Quality Medical Instruments Matters

Whether it’s a Micro Surgery Instrument Kit for Sale, a Buy Now Balfour Abdominal Retractor, or Sale Medical Diagnostic Instruments, investing in high-quality medical tools is essential for ensuring the best outcomes in patient care. Precision, durability, and ergonomic design are just a few of the features that distinguish top-tier instruments from their counterparts.

By prioritizing quality, healthcare facilities can enhance their reputation, improve patient satisfaction, and provide their teams with the tools they need to excel. From minor diagnostic procedures to complex surgeries, the right instruments can make all the difference in achieving successful results.

Conclusion

In the ever-evolving field of healthcare, staying equipped with reliable and advanced tools is crucial. Whether it’s the specialized Buy Cardiovascular Instruments Set Online or the versatile Wooden Embossed Painting Tray, medical instruments form the backbone of effective treatment and care. By exploring options online and taking advantage of sales, healthcare providers can ensure that they have access to the best tools available, setting the stage for excellence in medical practice.

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Immunology Hepatitis B and C virus transmission during surgical interventions has become a critical concern. Healthcare workers are especially prone to catch HBV and HBC infections from patients and vice versa. Statistics derived from several studies over the last decade and a half reveal a 4% infection rate for patients of surgeons who are positive for HbeAg. This study under consideration by Harpaz et.al (1996) analyzes this important clinical issue of transmission of the HBV from a previously infected surgeon to his patients. The Physician under study tested positive for the hepatitis B surface antigen (HBsAg) and anti-HBc (antibody) and was diagnosed with jaundice in February 1992. However, by March 1992 when he symptomatically recovered, he resumed his duties as a surgeon in two hospitals. This retrospective cohort study analyzed the period between July 1991 and July 1992 and reviewed a total of 144 patients who received surgical care from the particular doctor. The researchers used chart reviews, interviews and serologic testing for patients who received surgical care from the physician under study in two hospitals where he was working during the aforementioned study period. A total of 19 patients out of 144 (13%) study subjects (those who were operated by the surgeon) developed HBV infection post surgery. As a control group, the researchers also observed 124 patients who received surgical care from other thoracic surgeons in one of the hospitals under study. This was useful in identifying any other hospital-based potential infection sources. However, the fact that none of these 124 subjects were positive for HBV post surgery clearly ruled out infection by other nosocomial sources. Serological testing further revealed that the HBsAg subtype adW2 found in the surgeon was common in 13 infected subjects. Further HBV DNA sequence from the surgeon matched that of 9 case subjects who were also tested. Thus the study rightly identified the doctor under study to be the source of infection. The researchers reported to have identified traces of HBV DNA and HBsAg from the lesions that were formed during the one-hour suture simulation test. This retrospective study concluded that the lesions formed during suturing in combination with glove failure could have been the possible route of transmission of the HBV. However, the study failed to point out any conclusive evidence as to the route of transmission. It was revealed from the study results that cardiac transplantation procedure (relative risk, 4.9; 95% confidence interval, 1.5 to 15.5) carried greater risk factor for HBV infections. The one big drawback of this study is the vagueness of the results. Though the source of infection is clearly established, the researchers were not able to pinpoint the exact route of transmission. Furthermore, it is clear from the information that was directly gathered from the surgeon that he had clearly violated atleast one of the standard of surgical procedures. The surgeon had admitted to applying hemostatic material to sternal incisions without the use of sponges, which is not recommended due to the possibility of glove tears and percutaneous contact. Therefore, there is atleast some evidence for 'inadequate infection control'. However, it must be added that the rare percutaneous exposure does not account for the high rate of infection as identified in this study. Since it is well-known that HB infections tend to be asymptomatic in almost 70% of the cases, it increases the risk factor of the physician transmitting the virus unknowingly. Health care workers (HCW) who perform invasive procedures are obligated to know their serological status for HIV, HB and other chronic infectious conditions. Medical practice of HBeAg-positive health care worker should be carefully monitored and restricted as the health Canada panel recommended recently. Blatant or negligent violations in this respect, on the part of the surgeon, may in fact be regarded as a biocrime. The article under study and some other studies have shown that even with adherence to the recommended infection control procedures, the transmission of HBV from surgeon to patient continues to be a problem. Though the study discussed here suffers from vagueness relating to the mode of transmission, it has clearly exposed the source of the infection. The study also suggests that patients undergoing immunosuppressive therapy maybe at a greater risk for catching HBV infections. There is enough justification to limit the practice of HB infected physicians from exposure prone procedures. As the study under review concludes, HBV vaccination would have saved the doctor all the trouble that he caused inadvertently to his patients and to himself. It may not be far fetched to make HBV vaccination an essential for obtaining operating room privileges. Bibliography 1) Gerlich WH, 'Hepatitis B and C. Risk of transmission from infected health care workers to patients' Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz., 2004 Apr;47(4):369-78 2) Rafael Harpaz MD & Lorenz Von Seidlein et.al, 'TRANSMISSION OF HEPATITIS B VIRUS TO MULTIPLE PATIENTS FROM A SURGEON WITHOUT EVIDENCE OF INADEQUATE INFECTION CONTROL', NEJM, 1996, Vol 334, no 9. 3) American College of Surgeons, 'Statement on the surgeon and hepatitis', Bulletin of the American College of Surgeons, Vol.89, No. 4, April 2004 Available From, http://www.facs.org/fellows_info/statements/st-22.html 4) Shirley Paton, RN, MN; Shimian Zou, MD, PhD; Antonio Giulivi, MD, FRCPC, 'More Should Be Done to Protect Surgical Patients From Intraoperative Hepatitis B Infection', Infection Control and Hospital Epidemiology, Vol. 23 No. 6, 303- 305, Available From, http://www.journals.uchicago.edu/doi/pdf/10.1086/502055?cookieSet=1 5) Spijkerman IJB, van Doorn L-J, Janssen MHW, et al. Transmission of hepatitis B virus from a surgeon to his patients during high-risk and low risk surgical procedures during 4 years. Infect Control Hosp Epidemiol 2002;23:306-312. Read the full article